Summer Retreat Scholarship Form

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We want to see you at Dharmalaya this September! If you're unable to afford the ticket price for the retreat at this time, or if there are other circumstances getting in the way of your registration, please let us know so we can do our best to work with you and reserve your spot.

Full Name *

Email Address *

Phone Number *

What type of scholarship would you like to apply for?

Full scholarship

Partial scholarship

Other:

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Are there circumstances aside from finances that are preventing you from registering for the retreat? Tell us about them so that we can help you to get here if possible and reserve your space.

What type of accommodation would you like to reserve?

Commuter

Personal Tent

Canvas Tent with Cot

Dorm

Private Room

Clear selection

Is there anything else you'd like to add?

Submit

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